Provider Demographics
NPI:1871713404
Name:ACERS, JAMES KEVIN (MSW,LCSW)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:KEVIN
Last Name:ACERS
Suffix:
Gender:M
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 STANTON L YOUNG BLVD
Mailing Address - Street 2:SUITE #430
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5023
Mailing Address - Country:US
Mailing Address - Phone:405-271-8001
Mailing Address - Fax:405-271-5439
Practice Address - Street 1:711 STANTON L YOUNG BLVD
Practice Address - Street 2:SUITE #430
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5023
Practice Address - Country:US
Practice Address - Phone:405-271-8001
Practice Address - Fax:405-271-5439
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK36951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical